Emergency Physicians' Perceived Influence of EHR Use on Clinical Workflow and Performance Metrics.

Denton CA1, Soni HC2, Kannampallil TG3, Serrichio A1, Shapiro JS4, Traub SJ5, Patel VL1,2.

Author information

1: Center for Cognitive Studies in Medicine and Public Health, The New York Academy of Medicine, New York, New York, United States.
2: Department of Biomedical Informatics, Arizona State University, Phoenix, Arizona, United States.
3: Department of Family Medicine, University of Illinois at Chicago, Illinois, United States.
4: Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, United States.
5: Department of Emergency Medicine, Mayo Clinic, Phoenix, Arizona, United States.

Abstract

OBJECTIVE:

Over the last decade, electronic health records (EHRs) have shaped clinical practice. In this article, we investigated the perceived effects of EHR use on clinical workflow and meaningful use (MU) performance metrics.

MATERIALS AND METHODS:

Semistructured interviews were conducted with 20 (n = 20) physicians at two urban emergency departments. Interview questions focused on time spent on EHR use, changes in clinical practices with EHR use, and the effect of MU performance metrics on clinical workflow. Qualitative coding using grounded theory and descriptive analyses were performed to provide descriptive insights.

RESULTS:

Physicians reported that EHRs improved their clinical workflow, especially on MU-related activities including door-to-doctor time and admit decision time. EHR use also affected physicians work efficiency, quality of care provided, and overall patient safety.

CONCLUSION:

Physicians' perception of EHRs is likely to influence their practices. With negative perceptions of EHR usability problems, positive aspects of EHR use, including the influence on MU performance metrics, may be overridden.

Georg Thieme Verlag KG Stuttgart · New York.